Partially reported at a Scientific Paper Session at the Academy of Eating Disorders' International Conference on Eating Disorders, May 2–5, 2007, Baltimore, Maryland.
Anorexic self-control and bulimic self-hate: Differential outcome prediction from initial self-image†
Article first published online: 23 DEC 2008
Copyright © 2008 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 42, Issue 6, pages 522–530, September 2009
How to Cite
Birgegård, A., Björck, C., Norring, C., Sohlberg, S. and Clinton, D. (2009), Anorexic self-control and bulimic self-hate: Differential outcome prediction from initial self-image. Int. J. Eat. Disord., 42: 522–530. doi: 10.1002/eat.20642
- Issue published online: 7 AUG 2009
- Article first published online: 23 DEC 2008
- Manuscript Accepted: 22 OCT 2008
- outcome prediction;
- interpersonal theory
The study investigated initial self-image (structural analysis of social behavior) and its relation to 36-month outcome, among patients with anorexia nervosa and bulimia nervosa. Hypotheses were that degree of different aspects of self-image would predict outcome in the groups.
Participants were 52 patients with anorexia and 91 with bulimia from a longitudinal naturalistic database, and outcome measures included eating disorder and psychiatric symptoms and a general outcome index. Stepwise regression was used to investigate which self-image variables were related to outcome, and multiple regression contrasted the groups directly on each obtained predictor.
Consistent with hypotheses, in bulimia degree of self-hate/self-love moderately predicted outcome, whereas self-control–related variables powerfully predicted outcome in anorexia.
It is important to focus on self-image in the treatment of both diagnostic groups, but especially in anorexia nervosa, where control-submission interactions between patient and therapist should be handled with care. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2009